J1413 prior authorization | Anthem Blue Cross Blue Shield of Colorado
J1413, Injection, delandistrogene moxeparvovec-rokl, per therapeutic dose, is on the Anthem Blue Cross Blue Shield of Colorado prior authorization list. Not a coverage or referral decision.
- Code
- J1413
- Description
- Injection, delandistrogene moxeparvovec-rokl, per therapeutic dose
- Source
- Colorado Prior Authorization List, Pg 156 Original policy
Anthem Blue Cross Blue Shield of Colorado policies that name J1413
The payer's medical and payment policies that list J1413, those listing the fewest codes first. A policy can also list a code it excludes.
Anthem Blue Cross Blue Shield of Colorado prior authorization